Chesterfield County sees new HIV diagnoses 25% higher than the US average. If you're in Manchester, Virginia and wondering whether you have symptoms or just want peace of mind, you can get answers via local clinics or at-home kits. Each has its benefits: clinics let you consult with a provider and start treatment right away, while at-home kits offer flexibility. You'll find both options listed below.
Available testing centers
9 testing options are listed for Manchester, VA. The nearest, Labcorp, is about 1.2 miles away. Compare community and public clinics, private labs, and at-home kits below.
Listings tagged Community health center are federally funded health centers and rural clinics that treat everyone regardless of insurance or ability to pay: required to bill on a sliding fee scale and provide confidential care, and in many states minors may consent to their own STI testing. A Title X tag flags centers funded for confidential family-planning services; confirm current participation when you call.
Source: CMS FQHC & Rural Health Clinic enrollment files (data.cms.gov), refreshed quarterly. Title X status reflects the latest OPA grantee list.
Daily Planet in Richmond runs by appointment, so each visit is structured around your full picture: gonorrhea, chlamydia, syphilis, and HIV testing, same-visit treatment for bacterial infections, and sliding-scale fees accepted alongside Medicaid, Medicare, and insurance, with Spanish-language care available throughout.
Chasing a PrEP prescription through a separate provider means a second appointment, a second intake, and a gap where prevention stalls. Daily Planet prescribes and manages both PrEP and PEP on-site, so the same clinical relationship that handles your testing also holds your prevention regimen.
Spanish at Daily Planet is a staffing decision, not a workaround: clinicians deliver testing, counseling, treatment, and medication adherence education directly in Spanish, so the instructions for a new PrEP regimen or a treatment course arrive in the same language you'll use to follow them.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Nov 2025 · Source: CDC NPIN
Privia Medical Group in Midlothian tests for HIV, gonorrhea, chlamydia, syphilis, herpes, hepatitis A, B, and C, and TB on a sliding-scale fee accepted alongside Medicaid and private insurance, appointments required, with same-visit treatment for bacterial infections and care available in Spanish.
When a language barrier means questions go unasked or instructions only partially understood, an STI diagnosis becomes harder to manage and follow-up care slips. Privia Medical Group in Midlothian delivers care directly in Spanish, not routed through a separate step, so treatment, counseling, and medication instructions reach patients with full clarity.
PrEP at Privia Medical Group in Midlothian means regular HIV testing, kidney function labs, and prescription renewals managed by the same clinical team over time. PEP is prescribed and tracked through the full treatment course, with medication adherence counseling built into follow-up visits rather than left to the patient alone.
A hepatitis C diagnosis that ends at the antibody test leaves a patient holding a result but no treatment: that gap means weeks of scheduling, a specialist visit, and viral damage continuing in the interim. Privia Medical Group in Midlothian carries hepatitis C treatment on-site, so the path from diagnosis to antiviral therapy runs through one clinical relationship.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Feb 2026 · Source: CDC NPIN
Safe Haven, in Richmond, earned its federally qualified health center designation by tying fees directly to each patient's income: making syphilis, gonorrhea, and chlamydia screening genuinely within reach rather than contingent on insurance status. Walk-ins are welcome; no appointment is needed to get tested.
Tests offered
Fees & payment
Caritas, in Richmond, earned its federally qualified health center designation by anchoring care around income-based sliding-scale fees. Meaning the cost of STI screening shifts with what you actually earn. Walk-in STI visits cover syphilis, gonorrhea, and chlamydia, with no appointment needed.
Tests offered
Fees & payment
CrossOver HealthCare Ministry in Richmond covers the full bacterial and viral panel (gonorrhea, chlamydia, syphilis, hepatitis B and C, TB, and rapid HIV) treating bacterial infections the same visit, all at no charge on a sliding-scale basis, by appointment.
CrossOver HealthCare Ministry charges nothing for any service it provides, which means the decision to come back for follow-up, add a vaccine, or start PrEP never gets weighed against a bill.
Spanish is a live language of care at CrossOver HealthCare Ministry, not a workaround: clinical conversations about risk, treatment, and prevention happen directly in Spanish, so nothing gets compressed or lost between the exam room and the decision.
Without Ryan White-funded infrastructure, a positive HIV result often opens a separate search for a prescriber, coverage, and cost assistance that stalls care for months. CrossOver HealthCare Ministry carries that entire arc (from rapid test to managed, ongoing HIV treatment) inside the same clinic.
Languages
English, Spanish
Tests offered
Serves
Care services
Prevention services
Fees & payment
Listing verified Sep 2025 · Source: CDC NPIN
Free tool · not a clinic
Testing too soon can miss an infection. Enter the date of possible exposure to see the earliest a test can reliably detect each STI.
| Infection | Earliest reliable test | Conclusive after |
|---|---|---|
| Chlamydia | 7 days after exposure | 14 days after exposure |
| Gonorrhea | 7 days after exposure | 14 days after exposure |
| Trichomoniasis | 7 days after exposure | 28 days after exposure |
| HIV (NAT / RNA) | 10 days after exposure | 33 days after exposure |
| HIV (4th-gen Ag/Ab) | 18 days after exposure | 45 days after exposure |
| HIV (antibody) | 21 days after exposure | 84 days after exposure |
| Syphilis | 21 days after exposure | 42 days after exposure |
| Hepatitis B | 21 days after exposure | 42 days after exposure |
| Hepatitis C | 56 days after exposure | 77 days after exposure |
| Herpes (HSV) | 28 days after exposure | 112 days after exposure |
Guidance only, confirm timing with a clinician. A negative result before the conclusive date may need a repeat test.
Typical out-of-pocket ranges by option, actual cost depends on which tests you need.
Public / community clinic
Free HIV testing is common
Private lab (self-pay)
Never billed to insurance
At-home kit
Mailed to your door, private
Doctor / urgent care
Often $0 preventive with insurance
No centers match those filters. Clear the service-type filter or the opening-hours filters to see every center.
Every other option
Beyond the dedicated testing centers above: at-home kits by mail, hospital labs certified for STI testing, local clinicians who can order a panel during a regular visit, pharmacies for self-test kits and prescriptions, and online PrEP & treatment.
Test from home
The nearest testing center is about 1 mile away; if you'd rather skip the trip, an at-home kit ships to Manchester, you collect the sample privately, and mail it back to a CLIA-certified lab. Results come online in days, with a clinician available if anything is positive. Same labs as a clinic, no waiting room, and you can read how accurate at-home STD tests are before you order.
Want a free option first? The CDC-supported TakeMeHome (opens in a new tab) program mails free at-home HIV self-test kits, and, in many areas, free STI kits, to your door, with no insurance or payment needed. The paid kits below add broader panels and faster turnaround.
In-home collection
$79 & up
Best range: couples & full panels
$79 & up
Best value: single tests
$49 & up
Every kit uses CLIA-certified labs. At-home testing is for screening; a reactive result should be confirmed and treated by a clinician. Prices and panels shown are illustrative and change often, confirm current details on the provider's site.
Also in the area
Beyond the public testing sites above, these federally certified (CLIA) labs serve Chesterfield County, each lab's town is shown on its card below. Many test through a doctor's order or by appointment rather than walk-in, so call ahead to confirm STD/STI testing and availability before visiting.
7101 Jahnke Road, Richmond, VA 23225
CMS-certified lab Accredited · Joint Commission
7101 Jahnke Road, Richmond, VA 23225
CMS-certified lab Accredited · Joint Commission
7101 Jahnke Road, Richmond, VA 23225
CMS-certified lab Accredited · Joint Commission
1401 Johnston Willis Drive, Richmond, VA 23235
CMS-certified lab Accredited · Joint Commission
1401 Johnston Willis Drive, Richmond, VA 23235
CMS-certified lab Accredited · Joint Commission
Showing the nearest 5 CLIA-certified labs.
Source: CMS CLIA registry (Provider of Services), Q1 2026. Federal public records: active CLIA-certified laboratories near Manchester. A CLIA certificate records only that a laboratory is federally certified — it does not confirm the site performs STD testing, nor its hours, price or access. Inclusion is not an endorsement; always call to verify.
Local clinicians
Beyond dedicated clinics, 1,088 primary-care, OB-GYN, infectious-disease and other clinicians have a CMS practice record within 30 miles of Manchester. They may be able to evaluate symptoms or order a confidential STD panel during a regular visit, and 328 offer telehealth.
Victoria Rennie, MD
Family medicine · 8110 Midlothian Turnpike, North Chesterfield
Stephen Reinhardt, MD
Family medicine · 229 Wadsworth Drive, North Chesterfield
Ian Tolmie, DO
Internal medicine · 7140 Hull St Road, Richmond
Michael Perini, MD Telehealth
Internal medicine · 9100 Arboretum Parkway, North Chesterfield
Arielle Duncan, MD
Family medicine · 7801 Nathan Lane, North Chesterfield
Brittany Hearst Telehealth
Family medicine · 2500 Pocoshock Place, North Chesterfield
These are registry-listed clinicians, not dedicated STD-testing clinics. CMS records do not independently verify current licensure, testing services, availability, price, or new-patient status. Confirm each detail before booking. Source: CMS Doctors & Clinicians.
Nearby pharmacies
No pharmacy near Manchester, VA publishes an STD-related service or holds a current CLIA testing certificate, so these are simply the closest. Contact a location directly to confirm counter hours, services, prices, and availability before visiting.
Harmony Care Pharmacy
0.9 mi
1.0 mi Virginia Department of Corrections
1.3 miMidlothian Community Pharmacy
1.9 mi
1.9 mi Asm Pharmacy
2.0 miShowing the 6 closest pharmacies to Manchester, VA.
Directory records identify nearby pharmacies. Service, stock, price, and hours information is shown only when supported by current location-specific evidence.
Prevention & treatment
Testing is one step. For residents of Manchester, telehealth covers the rest: HIV-prevention medication (PrEP) and DoxyPEP to lower future risk, and discreet online treatment if a result comes back positive. All prescribed by licensed U.S. clinicians.
From $0 insured
Telehealth PrEP & DoxyPEP with at-home testing and ongoing monitoring
$0 with most insurance
Free online PrEP & DoxyPEP: HIV prevention, home lab kits, no in-person visit
Visit from $0 insured
Telehealth STI treatment and sexual-health care, delivered or to your pharmacy
Visit from $39
Online STI treatment & DoxyPEP: same-day prescriptions to your pharmacy
Pricing varies by insurance and changes often, confirm on the provider's site. These services are not a substitute for emergency care.
STD stats & rates
How reported STI rates in Chesterfield County, the county that includes Manchester, compare with Virginia and U.S. averages, based on the most recent 2023 surveillance data. An estimated ~31% of residents are aged 15–34 (ACS), the age group with the highest reported chlamydia and gonorrhea rates nationally.
#38 of 133 Virginia counties for chlamydia, a higher rate than 71% of the state
| Infection | Chesterfield County | Virginia | United States |
|---|---|---|---|
| Chlamydia | 461.6 1,772 cases ▼ 2% | 472.8 | 492.2 |
| Gonorrhea | 132.3 508 cases ▼ 16% | 158.3 | 179.5 |
| Syphilis (P&S) | 12.2 47 cases ▲ 14% | 10.7 | 15.8 |
| Syphilis (early) | 5.7 22 cases ▼ 40% | 9.5 | 16 |
| Syphilis (late/unknown) | 15.6 60 cases ▼ 1% | 15.8 | 29.5 |
Rates per 100,000 population, 2023. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis). Population figures: U.S. Census Bureau ACS. These figures are the latest available surveillance estimates. Bars are scaled to the highest rate shown.
Reading these numbers: reported case rates only count infections that were actually tested for and diagnosed, so they track local screening effort as much as true spread: a higher rate can reflect more testing, a lower one less. Either way, most STIs cause no symptoms, so treat the figures above as context rather than a verdict, and test on the CDC's schedule regardless of how your area looks.
Between 2020 and 2023 in Chesterfield County, chlamydia has risen from 461.4 to 461.6 per 100,000 (0%), gonorrhea has fallen from 156.1 to 132.3 per 100,000 (15%), and P&S syphilis has risen from 8.5 to 12.2 per 100,000 (44%).
The 2020 dip reflects reduced pandemic-era screening, not lower transmission. Source: CDC NCHHSTP AtlasPlus (county, state & U.S., all-ages basis).
Community health context
Sources: CDC PLACES (ZIP), County Health Rankings, CDC/ATSDR SVI, HRSA HPSA, HRSA MUA/P, Neighborhood Atlas ADI. Lower insurance coverage, fewer routine checkups, and a thin primary-care ratio all raise the value of low-cost public clinics and at-home testing in Chesterfield County.
Local HIV snapshot
Chesterfield County HIV care continuum (2023)
Chesterfield County recorded 17.1 new HIV diagnoses per 100,000 (2023), against 11.8 statewide and 13.7 nationally. Among Chesterfield County residents living with HIV, 82% are in care · 77.1% are virally suppressed. Early, routine testing is what moves these numbers: it is the entry point to PrEP, treatment, and viral suppression.
Sources: AIDSVu (Emory/Gilead) · CDC AHEAD · CDC AtlasPlus · CDC NCHHSTP AtlasPlus (county care continuum). The CDC recommends everyone aged 13–64 test for HIV at least once: every lab and clinic listed above offers HIV testing, and free rapid HIV testing is available at a local health department.
Congenital syphilis, passed from parent to baby in pregnancy, is the fastest-rising STI in the country. U.S. cases climbed from 2,163 in 2020 to 3,882 in 2023. It is almost entirely preventable: the CDC recommends a syphilis test at the first prenatal visit, and every clinic and lab listed for Chesterfield County tests for syphilis.
Source: CDC NCHHSTP AtlasPlus, 2023 (county-level congenital syphilis is not published).
Local resources & officials
Data & references
Local context
Penn Acres sits close enough to Hull Street Road to feel connected to the rest of Chesterfield, yet daily life here still runs on a car: a quick errand means picking a route along the Powhite Parkway or cutting over to Midlothian Turnpike, not stepping outside and walking to it. That reality shapes how people think about healthcare appointments, including STI screening: if a clinic visit requires planning a drive rather than a detour, it moves down the mental list until a less hectic week arrives that never quite does. The community's housing picture adds another layer. With nearly half of households renting, and monthly rents that claim a meaningful slice of a paycheck, spending on elective-feeling appointments gets weighed carefully.
Younger adults here, people in their late teens and twenties who represent the age range when STIs spread most readily, are often in that renting half: newer to the area, still building financial footing, balancing work schedules in a community where the vast majority of adults are employed full-time. Household sizes in Manchester tend to run larger than the regional average, meaning health decisions ripple outward. A test someone skips affects more than one person under a roof. With the clinics listed on this page serving the area, the range of hours, sliding-scale fees, and locations along Chippenham Parkway and surrounding roads makes it genuinely possible to find an appointment that doesn't require taking a day off work.
Getting there
Manchester scores 11.55/20 on the EPA walkability index, so many trips are walkable or a short ride, though a car still gives you the widest choice of testing centers.
Source: EPA National Walkability Index 2021.
ZIP 23225 snapshot
ZIP-level Census figures for the wider 23225 area around Manchester: a single ZIP can span several communities, so they describe the area, not Manchester alone.
Manchester sits in Chesterfield County, ZIP 23225. Local context that shapes where residents test:
Local landmarks
Neighborhoods & communities
Major routes
Nearby cities & towns
Just outside Manchester? These nearby communities have their own testing guides: clinics, at-home kits, and free screening close to home.
Reference
Everything to know before you test in Chesterfield County: the CDC's screening guidelines, each infection's detection window, per-test reference prices, and your privacy rights under Virginia law. If you have symptoms right now, our confidential symptom checker maps them to the tests worth considering.
Based on current CDC screening recommendations.
| Group | Tests | How often |
|---|---|---|
| Everyone aged 13–64 | HIV | At least once |
| Sexually active women under 25 | Chlamydia, gonorrhea | Every year |
| Women 25+ with new or multiple partners | Chlamydia, gonorrhea | Every year |
| Pregnant people | HIV, syphilis, hepatitis B & C, chlamydia | Early in pregnancy |
| Gay & bisexual men (MSM) | Chlamydia, gonorrhea, syphilis, HIV | Every 3–6 months |
| Anyone who shares injection equipment | HIV, hepatitis B & C | At least yearly |
| All adults at least once | Hepatitis C | At least once |
Testing too early can return a false negative, confirm timing with a Manchester-area provider.
| Infection | Earliest reliable test | Sample |
|---|---|---|
| Chlamydia | 1–2 weeks | Urine or swab |
| Gonorrhea | 1–2 weeks | Urine or swab |
| Trichomoniasis | 1–4 weeks | Urine or swab |
| HIV (NAT / RNA) | 10–33 days | Blood |
| HIV (4th-gen Ag/Ab) | 18–45 days | Blood |
| HIV (antibody) | 3–12 weeks | Blood / oral |
| Syphilis | 3–6 weeks | Blood |
| Hepatitis B | 3–6 weeks | Blood |
| Hepatitis C | 8–11 weeks | Blood |
| Herpes (HSV) | 4–16 weeks (antibody); swab a sore | Blood / swab |
These are the federal Medicare reference prices for processing each lab test. Public clinics and the community health centers serving Manchester often test free or on a sliding scale; private labs and at-home kits bundle several tests into one fee. Use this as a per-test benchmark before you pay out of pocket, or see the full guide to STD test costs for insurance, free, and at-home options.
| Test | Reference price | CPT / HCPCS |
|---|---|---|
| Chlamydia (NAAT) | $47.80 | 87491 |
| Gonorrhea (NAAT) | $47.80 | 87591 |
| Trichomoniasis (NAAT) | $47.76 | 87661 |
| HIV-1/2 antigen/antibody | $26.87 | 87389 |
| HIV-1/2 antibody | $22.44 | 86703 |
| Syphilis (RPR/VDRL) | $5.61 | 86592 |
| Syphilis (treponemal antibody) | $17.49 | 86780 |
| Herpes (HSV NAAT) | $47.76 | 87529 |
| Hepatitis B surface antigen | $15.33 | 87340 |
| Hepatitis C antibody | $29.16 | 86803 |
Source: Medicare Clinical Laboratory Fee Schedule, CMS, 2025 rates (data.cms.gov). Reference rate for the lab assay only: a clinic visit, sample collection, or a bundled multi-test panel may cost more. Medicaid and most insurers cover STD screening at no out-of-pocket cost.
Two things that actually depend on Virginia law: who can consent, and whether partners can be treated without their own visit. Everything else about testing privately is the same nationwide (see below).
In Virginia, a minor of any age can consent to confidential STI testing and treatment on their own, no parental permission is required.
Virginia permits Expedited Partner Therapy (EPT): if you test positive for chlamydia or gonorrhea, your provider can give you medication (or a prescription) to pass to your partner, no separate exam or appointment needed for them.
Keeping a test private works the same in every state. Whether an STD test shows on insurance (the EOB), how to test anonymously, and self-pay options that leave no insurance trail don’t change by location.
Learn more about confidential STD testing in VirginiaSource: Guttmacher Institute, Minors' Access to STI Services; CDC, Legal Status of Expedited Partner Therapy. General information, not legal advice.
Good to Know
Answers to the questions people ask most before getting tested.
There are 9 options within a 30-mile drive.
Yes, Medicaid typically covers it, and public clinics are free either way.
Yes, free HIV testing is available at public clinics in the area.
A full panel typically covers chlamydia, gonorrhea, syphilis, HIV, and hepatitis B and C.
Chesterfield County reported ~462 chlamydia cases per 100,000 in 2023, below the Virginia average.
In Virginia, people under 18 can consent to confidential STD testing and treatment on their own.
Yes, PrEP, a daily pill that helps prevent HIV in HIV-negative people, is available in the area.
Chlamydia is checked with a simple urine sample or a swab; lab results usually come back in a day or two.
A kit ships to your address; you collect a urine, swab, or finger-stick sample, mail it to the lab, and get results online in a few days.
Reassuring if you tested after the window, just retest if it was early, and screen again with new partners.
Have a different question? Browse the full STD & STI FAQ library, every question we answer, in one place.